PHILLIP PARKER (NPI# 1902214604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902214604 |
| Entity Type | Individual |
| Full Name | PHILLIP PARKER |
| Credential | DDS |
| Practice Address |
3669 Main St Stone Ridge NY 12484-5613 |
| Mailing Address |
24 Twin Ponds Dr Kingston NY 12401-6432 |
| Practice Telephone | 8456870066 |
| Mailing Telephone | 8453382999 |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 125K00000X | Advanced Practice Dental Therapist | 040 171 1 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538689088 | Phillip Jason Parker | Contractor | 17136 Clairmont Ln, Fredericksburg, VA 22408-9330 | 2017-06-26 |
| 1609063742 | Phillip Parker | Counselor | 1459 Main St., Tunica, MS 38676 | 2007-10-03 |
| 1063522803 | Phillip R Parker | Dentist | 3700 W Robinson, Suite 102, Norman, OK 73072 | 2006-08-30 |
| 1851340327 | Phillip Ernest Parker | Preventive Medicine | 2340 Ridgetrail Dr, Castle Rock, CO 80104-7692 | 2006-05-10 |
| 1598102121 | Phillip Parker | Technician/Technologist | 801 N 29th St, Billings, MT 59101-0905 | 2013-05-22 |
| 1952589004 | Phillip Livingston Parker | Pharmacist | 1301 Belleville Ave, Brewton, AL 36426-1306 | 2008-01-31 |
| Street Address |
3669 MAIN ST |
| City | STONE RIDGE |
| State | NY |
| Zip Code | 12484-5613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205239480 | Mindhealth Psychological Services, Pllc | Psychologist | 3669 Main St, Suite 5, Stone Ridge, NY 12484-5613 | 2014-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669964706 | Hurley Avenue Family Medicine | Family Medicine | 10 Gagnon Dr., Stone Ridge, NY 12484 | 2018-06-05 |
| 1053691014 | Helena Nikolajevic | Acupuncturist | 24 Albright Lane, Stone Ridge, NY 12484 | 2011-08-23 |
| 1346532090 | Stone Ridge Chiropractic, PC | Chiropractor | 3631 Main Street, Stoneridge, NY 12484 | 2011-05-12 |
| 1760681829 | Elizabeth S Loughren | Registered Nurse | 766 Old Turnpike Rd, In Care of Dr Wm Thomas, Sherburne, NY 12484 | 2007-07-17 |
| 1457472789 | Sondra D. Tillou | Chiropractor | Rt. 209 & Mt. View, Stone Ridge, NY 12484 | 2007-04-03 |
| 1336269539 | Renee Gabrielle Sabin-haggerty | Pharmacist | 3852 Main St, Rite Aid Store #10704, Stone Ridge, NY 12484 | 2007-03-30 |
| 1114028818 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 3852 Main Street, Stone Ridge, NY 12484 | 2006-09-26 |
| 1417967530 | Wayne William St Hill | Dentist | 10 Gagnon Drive, Rte 209, Stone Ridge, NY 12484 | 2006-08-09 |
| 1902897242 | Timothy E Deschenes | Chiropractor | Box 514, 3631 Main Street, Stone Ridge, NY 12484 | 2005-11-04 |
| 1023388147 | Alicia Ann Marquis-serson | Speech-Language Pathologist | 122 Kyserike Road, Stone Ridge, NY 12484 | 2012-01-05 |
| Find all providers in zip 12484 | ||||
| Taxonomy Code | 125K00000X |
| Grouping | Dental Providers |
| Classification | Advanced Practice Dental Therapist |
| An Advanced Practice Dental Therapist is: (1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or (2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum. The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations. |
| Notes: Source: Summarized from Minnesota Statute 150A.106. [7/1/2012: new] |
| City | STONE RIDGE |
| Zip Code | 12484 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.